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New CMS primary-care payment model would affect 20K doctors

New CMS primary-care payment model would affect 20K doctors

By Virgil Dickson  |  April 11, 2016

The initiative will include up to 5,000 practices in 20 regions, which would encompass more than 20,000 doctors and clinicians. It's the agency's largest plan ever to transform and improve how primary care is delivered and reimbursed.

How to get a leg up on bundles

How to get a leg up on bundles

By Harris Meyer  |  April 09, 2016

This month, hundreds of hospitals across the country started doing hip and knee replacements under Medicare's mandatory bundled-payment initiative. Experts say many weren't ready to meet the tough challenges, but at least two have rigorously prepared themselves.

Editorial: Medicaid reforms helping to drive value-based payment

Editorial: Medicaid reforms helping to drive value-based payment

By Merrill Goozner  |  April 09, 2016

State Medicaid agencies have launched a wide array of payment and care-delivery reforms, some of which go further than the federal government's efforts. While they offer the promise of delivering higher-quality care, it's unreasonable to expect them to deliver lower costs, at least in the short run.

Two reservation hospitals now face funding cutoff deadline

By Associated Press  |  April 09, 2016

A second troubled government-run hospital on a Native American reservation in South Dakota was given an extension Friday to reach an agreement with federal officials to make significant quality-of-care improvements to avoid losing its Medicare and Medicaid funds.

Final Medicare Advantage rate policies a mixed bag for insurers

By Bob Herman  |  April 07, 2016

Did the Obama administration indulge health insurance companies with friendly changes to Medicare Advantage rate policies for 2017? Or did CMS officials stick to their guns on proposals the industry aggressively lobbied to kill? Experts say it was a little of both.

MedPAC outlines post-acute pay overhaul, backs Part D changes

By Virgil Dickson  |  April 07, 2016

The Medicare Payment Advisory Commission has completed work on a road map for overhauling how the program pays for post-acute care. The advisory panel voted to back a variety of changes to the Part D prescription drug program that could save as much as $10 billion over five years.

Providers praise big changes to ACO cost targets

By Virgil Dickson  |  April 05, 2016

Major healthcare systems are generally praising the CMS' attempts to make Medicare's biggest accountable care program more attractive as the agency strives to grow the number of participants while also persuading more of them to assume greater financial risk.

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